PATRICIA GRANT NP

SOUTH SHORE NEUROLOGIC ASSOC PC

Dr PATRICIA GRANT NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2002.

Contact

SOUTH SHORE NEUROLOGIC ASSOC PC

77 MEDFORD AVE
PATCHOGUE
NY
117721281

Tel: 6316545555

PATRICIA GRANT NP Information

Npi 1629175609
Pac Id 1557465531
Professional Enrollment Id I20070330000515
Last Name GRANT
First Name PATRICIA
Middle Name
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2002
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTH SHORE NEUROLOGIC ASSOC PC
Group Practice Pac Id 5092602110
Number Of Group Practice Members 32
Line 1 Street Address 77 MEDFORD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PATCHOGUE
State NY
Zip Code 117721281
Phone Number 6316545555
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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